Pericardial Disease and Cardiac Tumors Flashcards Preview

Cardiac Theory Echo 500 > Pericardial Disease and Cardiac Tumors > Flashcards

Flashcards in Pericardial Disease and Cardiac Tumors Deck (45)
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1

A thickened, inflamed, adherent or calcific pericardium is associated with:
A. Cardiac tamponade
B. Mitral stenosis
C. Constrictive pericarditis
D. Pulmonary embolism

C. Constrictive pericarditis

2

A patient with chronic systemic HTN presents to the echo lab. The PW doppler mitral inflow data is acquired: E:A ratio is 0.66, decal time 290msec, isovolumic relaxation time is 132msec. The doppler data suggests the diastolic filling grade of Grade:
A. IV
B. I
C. III
D. II

B. I

3

The most common intracardiac tumor in adults is (the):
A. Myxoma
B. Metastatic
C. Rhabdomyoma
D. Angiosarcoma

B. Metastatic

4

All of the following ae associated M-mode/2D echo findings for cardiac tamponade EXCEPT:
A. RV systolic collapse
B. RA diastolic collapse
C. Pericardial effusions (usually moderate-large)
D. IVC plethora

A. RV systolic collapse

5

All of the following are possible etiologies of constrictive pericarditis EXCEPT:
A. Atherosclerosis
B. Tuberculosis
C. Prior pericardiotomy
D. Radiation therapy to the chest region

A. Atherosclerosis

6

All of the following may result in secondary pulmonary hypertension EXCEPT:
A. LV failure
B. Coronary artery disease
C. Tricuspid regurgitation
D. Mitral stenosis

C. Tricuspid regurgitation

7

Echocardiographic signs associated with constrictive pericarditis include all of the following EXCEPT:
A. IVC plethora
B. railroad track sign
C. septal bound
D. increased EPSS

D. Increased EPSS

8

An anterior clear space is noted in the PLAX view. The diagnosis is most likely:
A. Pericardial effusion
B. Adipose tissue
C. Constrictive pericarditis
D. Cardiac tamponade

B. Adipose tissue

9

Secondary findings associated with systemic hypertension include all of the following EXCEPT:
A. increased LV mass
B. LVH
C. LAE
D. increased main pulmonary artery

D. increased main pulmonary artery

10

The most common primary benign valvular tumor in adults is the:
A. Fibroelastoma
B. Angiosarcoma
C. Rhabdomyoma
D. Myxoma

A. Fibroelastoma

11

The tissue doppler finding for constrictive pericarditis is mitral valve annulus:
A. Normal E' wave peak velocity
B. E'/A' ratio reversal
C. Increased S' wave peak velocity
D. Absent A' wave

A. normal E' wave peak velocity

12

Complications of a right atrial thrombus include:
A. Pulmonary embolism
B. Patent foramen ovale
C. Valvular prolapse
D. Interatrial septal aneurysm

A. Pulmonary embolism

13

The most common presenting symptom of acute pericarditis is:
A. Fatigue
B. Cachexia
C. Hemoptysis
D. Chest pain

D. Chest pain

14

Cardiac catheterization findings for constrictive pericarditis include:
A. Increased "v" wave
B. Absent "a" wave
C. Increased peak-to-peak pressure gradient
D. Dip-and-plateau

D. Dip-and-plateau

15

All of the following are associated findings for pericarditis EXCEPT:
A. Tachycardia
B. Pericardial friction rub
C. Pericardial effusion by echocardiography
D. Fever

C. Pericardial effusion by echocardiography

16

Possible echocardiographic findings for pulmonary hypertension include all of the following EXCEPT:
A. RVH
B. Abdominal aortic aneurysm
C. Tricuspid regurgitation
D. Dilated main pulmonary artery

B. Abdominal aortic aneurysm

17

The best guideline for differentiating pericardial effusion from pleural effusion by 2D echo is:
A. Pericardial seen as a posterior clear space; pleural seen as an anterior clear space
B. Pericardial seen as an anterior clear space; pleural seen as a posterior clear space
C. Pericardial located anterior to DA; pleural seen posterior to DA
D. Pericardial present posterior to DA; pleural present anterior to DA

C. Pericardial effusion is located anterior to the descending aorta; pleural effusion is present posterior to the descending aorta

18

Fibrin within the pericardial effusion most likely indicates:
A. Long-standing pericardial effusion
B. Cardiac tamponade
C. Constrictive pericarditis
D. Acute myocardial infarction

A. Long-standing pericardial effusion

19

Pulsed-wave doppler evidence of constrictive pericarditis includes:
A. Increased peak velocity across the MV with expiration
B. Increased peak velocity across the AV with inspiration
C. Increased peak velocity across the TV with expiration
D. Increased peak velocity across the MV with inspiration

A. Increased peak velocity across the MV with expiration

20

A posterior echo-free space is detected during the systolic phase only by M-mode/2D echo. This is considered a:
A. Normal finding
B. Large pericardial effusion
C. Moderate pericardial effusion
D. Small pericardial effusion

A. Normal finding

21

A 2D echo finding associated with pulmonary hypertension is:
A. Interventricular MI
B. Hyperkinetic IVS motion
C. Flattening of the IVS during ventricular systole
D. Atrial septal aneurysm

C. Flattening of the IVS during ventricular systole

22

The combination of pericardial effusion and constrictive pericarditis is called:
A. Effusive-constrictive pericarditis
B. Libman-Sacks
C. Pericardial cyst
D. Cardiac tamponade

A. Effusive-constrictive pericarditis

23

An unattached freely moving thrombus within the left atrium is referred to as a:
A. Sessile thrombus
B. Ball-valve thrombus
C. Pedunculated thrombus
D. Myxoma

B. Ball-valve thrombus

24

M-mode findings associated with pulmonary hypertension include:
A. Paradoxical "a" dip of the PV
B. Deep "a" dip of the PV
C. Absent or shallow "a" dip of the PV
D. Reverse "a" dip of the PV

C. Absent or shallow "a" dip of the PV

25

The swinging heart syndrome is associated with:
A. Cardiac trauma
B. Pericardial effusion
C. Constrictive pericarditis
D. Mitral valve prolapse

B. Pericardial effusion

26

As the mean pulmonary artery pressure increases, the right ventricular outflow tract acceleration time:
A. Decreases
B. Remains unchanged
C. Increases
D. Depends upon patient age

A. Decreases

27

A 44 year old female presents with dyspnea, no history of smoking or cardiac disease and significantly increased pulmonary artery pressures. The most likely explanation is:
A. Tricuspid regurgitation
B. Grade I diastolic function
C. Pulmonary regurgitation
D. Primary pulmonary hypertension

D. Primary pulmonary hypertension

28

PW doppler evidence of cardiac tamponade from diastolic hepatic vein flow is:
A. Inspiratory reversal
B. Expiratory increase
C. Expiratory decrease
D. Inspiratory increase

C. Expiratory decrease

29

Doppler evidence of constrictive pericarditis from diastolic hepatic vein flow is:
A. Expiratory increase
B. Expiratory decrease
C. Systolic flow reversal
D. Inspiratory Increase

B. Expiratory decrease

30

All of the following may be used to calculate pulmonary artery pressure by doppler EXCEPT:
A. Pulmonary regurgitation
B. Mitral regurgitation
C. Right ventricular outflow tract acceleration time
D. Tricuspid regurgitation

B. Mitral regurgitation